Routine inspection·December 11, 2025

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. Upon arrival, LPA was greeted by Licensee McIntyre, identified herself, was granted entry into the facility, and informed of the purpose of the visit. According to the facility’s license, the maximum capacity is six (6) residents. All residents may be non-ambulatory, one (1) may be bedridden, and the facility has a waiver to admit up to three (3) residents who receive Hospice care. During today’s inspection, there were five (5) residents in care. One (1) resident is receiving hospice care and is bedridden. Of the remaining four (4) residents, three (3) are non-ambulatory. LPA Correia, accompanied by Licensee McIntyre, toured the facility and inspected each room. The facility was observed to be clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Resident bedrooms contained the required furnishings. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were available. Medications, toxins, and sharps were all locked and inaccessible to residents in care. *LPA took a lunch break during today's visit. The facility had adequate space and equipment to support dining, laundry, visitation, meetings, and resident activities. The ambient indoor temperature was 74 degrees Fahrenheit and hot water temperature was 112.3 degrees Fahrenheit, within Licensing guidelines. No pools or bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and the facility land line were present and operational. Fire extinguishers were current with inspections. A first aid kit and manual were readily accessible. The Administrator’s certification and the facility’s liability insurance were current. The last disaster drill was conducted on September 25, 2025. Required postings were observed throughout the facility. No deficiencies were cited during today’s inspection. An exit interview was conducted with Licensee McIntyre. A copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) will be provided at the conclusion of the visit. Signature below confirms receipt of the reports.